, coding, and unit testing following established processes, standards and procedures Develop prototype configuration... medical claims knowledge and provider contracts Certified auditor in auditing BSC provider contracts or claims audit...
to conduct research and correct any coding errors Support Concur expense report system Perform expense financial statement.../de-active expense accounts Review expense coding for accuracy, run/create analytical reports, process expense reports weekly...
., phishing, secure coding, OT cyber hygiene, supplier security). Provide clear, business-friendly reporting and metrics... (or commitment to obtain within 12 months): CISSP or CISM (core) ISO/IEC 27001 Lead Implementer or Lead Auditor CCSP (cloud...
%) Support the annual financial statement audit. Prepare lookback analyses and other information as requested by the auditor.... Meet with the auditor as needed to answer questions. (5%) Perform medical expense projections and evaluate against payor...
., phishing, secure coding, OT cyber hygiene, supplier security). Provide clear, business-friendly reporting and metrics... (or commitment to obtain within 12 months): CISSP or CISM (core) ISO/IEC 27001 Lead Implementer or Lead Auditor CCSP (cloud...
for Multispecialty Surgery physicians primarily Single Path Coding. Multi-specialty surgical coding experience, any Trauma, Urology, ENT... Diagnosis codes, along with CPT/HCPCS codes as defined for the service type, for coding, billing, internal and external...
payments (donations, grants, checks, EFTs). Ensure proper coding and allocation of revenue, including restricted funds..., including data gathering and entry. Compile and maintain audit documentation; prepare schedules and respond to auditor requests...
%) · Coordinate annual financial audit preparation and serve as a primary liaison for auditor requests · Ensure accurate tracking... closely with the AP & Payroll Manager to ensure accurate expense coding and payroll allocations · Coordinate with the...
Coder (CPC), Certified Coding Specialist (CCS), Certified Professional Medical Auditor (CPMA), Auditing Outpatient Coding... our billing team. We are seeking a certified Coder with FQHC, multi-speciality or PCP office coding background. The Coder...
of healthcare experience -Required Preferred Experience: Prior experience of working as a CDI/Coding auditor is preferred... and understanding of coding/DRG requirements to improve overall quality and completeness of clinical documentation in the patient...
optimization, auditor proficiency with the tool, and vendor collaboration. Leads vendor management oversight and serves as the... and career progression to enable revenue growth and auditor and support staff development and engagement. Promote & participate...
as necessary. Reviews/approves cash posting by Accounting Clerk. Prepares and/or reviews general ledger coding for cash entries... of appropriate internal controls. Prepares monthly bank account reconciliations, as necessary. Responds to independent auditor...
administrative appeal of reimbursement claims denied by Medicare or Medicaid on the grounds that the medical coding was incorrect.... These duties involve coordination of activities with the managers of coding at each of the Piedmont affiliated hospitals...
controls and best practices into CI/CD pipelines and DevSecOps workflows, driving adoption of secure coding standards... Auditor (CISA). Certified Information Security Manager (CISM). C. Other Knowledge, Skills or Abilities...
. Operations Oversight: Manage all risk adjustment activities, including provider coding initiatives, chart reviews, in-home... expertise in Medicare Advantage and Value-Based Care frameworks. Technical Knowledge: Deep understanding of ICD-10 coding...
. You've conducted company and market diligences end-to-end. Strong nice-to-have's: Python and experience using AI-coding and analytics... auditor. Results of the audit may be viewed here: Compensation The successful candidate's starting pay will fall...
Workspace, Google Cloud, etc.) Proficiency in SQL data analysis, Python coding, and other automation tooling. Project planning... using again on June 29, 2024. The Covey tool has been reviewed by an independent auditor. Results of the audit may...
reviews to include audits of financial and business controls; documentation, coding and billing; and other audits to enhance... experience. Certified Public Accountant (CPA); OR Certified Internal Auditor (CIA); OR Certified Fraud Examiner (CFA...
of coverages and program structures, as well as internal policy coding systems to ensure account completeness. Designated as the... control of premium audit statements prior to underwriting review; documents discrepancies and work with the premium auditor...
: Certified Professional Coder (CPC), Certified Professional Medical Auditor (CPMA), or Certified Coding Specialist – Physician... always. Find your next career opportunity and make a difference doing what you love at Children’s. Job Description The Physician Coding Educator...